HomeMy WebLinkAbout0015 WILD ROSE LANE - Health 15 Wild Rose Lane
Barnstable
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Town of Barnstable P#
Department of Health,Safety,and Environmental Services
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oFIHE Public Health Division Date /� z
^� o� 367 Main Street,Hyannis MA 02601 a
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�°lFv µpt A�0 Date Scheduled y Time / Fee Pd. !U�
Soil ,Suitability Assessment for Sewage Disposal
Performed By: %z^T'f tC_4_3 Witnessed By: ( A,
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Location Address Owner's Name S
.L!H.ek C�v J t�, Address
Assessor's Map/Parcel:_, Engineer's NameA
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NEW CONSTRUCTION REPAIR
Telephone it _;bg 36 2 g!3 2 j
Land Use Slopes % �-'/� "'`
• P ( ) Surface Stones �.7U
Distances from: Open Water Body ��-~ ft Possible Wet Area l6&t ft Drinking Water•Well _ ft
Drainage Way ft Property Line /0 ft Other ft
SKETCH: (Street name,dimensions of lot,exact locations of test holes&perc tests,locate wetlands in proximity to holes)
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Parent material(geologic) D 4:�_7n los t i-Is Depth to Bedrock -t
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Depth to Groundwater: Standing Water in Hole: Weeping from Pit Face
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Estimated'SeasonalI3igh Groundwater
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DE`TRMIlYAT INN F OR:SEAS0IAL HIGH WATJ TABU
''Method Used (_U 5 _:$
�- t O h ern i holP-I)enth TO�senred._a:_c!na to ebs. ___ --/V3(—/# --in.-.-Depth to soil motN e• /A {.,•
0--) r— Depth to,Weeping from side of o s.hole: ;6/q in. Groundwater Adjustment ft.
t.� TndexlWell#Sov,z2 Reading Date:izs Index Well level•.. / (, Adj.factor_1.o Adj.Groundwater Level IZ ik
. :.. :: »<>:. <. PEl2COLATIQIY TEST Date xi
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Observation
Hole# 6 Time at 9"
Depth of Perc �d Z t �0 2 Time at 6" ov
Start Pre-soak Time
Ot uu p;r�rr a Time(9"-6")
End Pre-soak
Rate Min./Inch
Site Suitability Assessment: Site Passed Site Failed: Additional Testing Needed(YIN) .-
Original: Public Health Division Observation Hole Data To Be ComplRted.on Back j
Copy: Applicant -
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DEEP O . E12YI01v kIQ00 Hole:# _
Depth from, Soil Horizon Soil Texture ,Soil Color Soil , Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
CQnsistency.° Gravel)
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lilyy tii s.N Z.>yY �/
DEEP OBSERVATIQN HOLE LOB- H,oie
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Structure,Stones,Boulderes.
Consistency,° Gravel)
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1 Z( Sl tT tart,-(
DEEP:QBSRVAT�(JY HOLE L�? Ho.le _
Depth from Soil Horizon Soil Texture Soil Color Soil Other
Surface(in.) (USDA) (Munsell) Mottling (Stricture,Stones,Boulderes.
le)yIx Z/Z
'' L^/ a7c.T Lortv'•( 2 ) Y S/3
2
DEEP OBSERVATION HOLE LO:.G Hole
'Depth from Spif Horizon Soil Texture Soil Color' Soil Other
Surface.(in.)...,.. .. ., .". . (USDA) (Munsell) - - Mottling` (Structure,Stones,Boulderes.
Consistency.°o Gravel)
F-T
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Flood Insurance Rate Maw
Above 500 year flood boundary No Yes -X "
Within 500 year boundary No K Yes
Within 100 year flood boundary No x Yes
Depth of Naturally Occurring Pervious Material
Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the
area proposed for the soil'absorption system? Lv�S ; •, i
If not,what is the depth of naturally occurring pervious material? Ji
Certification 1 +
I certify that on lib (date)I have passed the soil evaluator examination approved bythe
Department of Environmental Protection and that the above analysis was performed by me"consistent with
the required training, a ertise and experience,described in-310 CMR 15.017•
Signature Date -